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General NPI Number Information
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NPI Number | 1285116152
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Entity Type | Individual
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Provider Name | JONEEN MARY ADAMS MS
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Gender | Female
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 895 N FRASER ST
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City | GEORGETOWN
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State | SC
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Zip | 29440-3356
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Country | US
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Telephone | 843-833-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 1880 COLONY DR APT 12D
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City | SURFSIDE BEACH
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State | SC
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Zip | 29575-5135
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Country | US
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Telephone | 845-304-6023
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4646
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 274708
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License Number State | SC
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